Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge
Delirium- an acute disorder of attention and cognition- is the commonest complication following hip fracture. Patients with hip fracture are particularly vulnerable to delirium, and many of the lessons from the care of the patient with hip fracture will extend to other surgical cohorts. Prevention a...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-11-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.1080253/full |
| _version_ | 1811180001894072320 |
|---|---|
| author | Danielle Ní Chróinín Danielle Ní Chróinín Alwin Chuan Alwin Chuan Alwin Chuan |
| author_facet | Danielle Ní Chróinín Danielle Ní Chróinín Alwin Chuan Alwin Chuan Alwin Chuan |
| author_sort | Danielle Ní Chróinín |
| collection | DOAJ |
| description | Delirium- an acute disorder of attention and cognition- is the commonest complication following hip fracture. Patients with hip fracture are particularly vulnerable to delirium, and many of the lessons from the care of the patient with hip fracture will extend to other surgical cohorts. Prevention and management of delirium for patients presenting with hip fracture, extending along a continuum from arrival through to the post-operative setting. Best practice guidelines emphasize multidisciplinary care including management by an orthogeriatric service, regular delirium screening, and multimodal interventions. The evidence base for prevention is strongest in terms of multifaceted interventions, while once delirium has set in, early recognition and identification of the cause are key. Integration of effective strategies is often suboptimal, and may be supported by approaches such as interactive teaching methodologies, routine feedback, and clear protocol dissemination. Partnering with patients and carers will support person centered care, improve patient experiences, and may improve outcomes. Ongoing work needs to focus on implementing recognized best practice, in order to minimize the health, social and economic costs of delirium. |
| first_indexed | 2024-04-11T06:43:02Z |
| format | Article |
| id | doaj.art-e64981dd44f04e27a486d55cf335a80b |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-11T06:43:02Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-e64981dd44f04e27a486d55cf335a80b2022-12-22T04:39:25ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-11-01910.3389/fmed.2022.10802531080253Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to dischargeDanielle Ní Chróinín0Danielle Ní Chróinín1Alwin Chuan2Alwin Chuan3Alwin Chuan4Liverpool Hospital, Liverpool, NSW, AustraliaSouth Western Sydney Clinical School, UNSW Sydney, Liverpool, NSW, AustraliaLiverpool Hospital, Liverpool, NSW, AustraliaSouth Western Sydney Clinical School, UNSW Sydney, Liverpool, NSW, AustraliaIngham Institute of Applied Medical Research, Liverpool, NSW, AustraliaDelirium- an acute disorder of attention and cognition- is the commonest complication following hip fracture. Patients with hip fracture are particularly vulnerable to delirium, and many of the lessons from the care of the patient with hip fracture will extend to other surgical cohorts. Prevention and management of delirium for patients presenting with hip fracture, extending along a continuum from arrival through to the post-operative setting. Best practice guidelines emphasize multidisciplinary care including management by an orthogeriatric service, regular delirium screening, and multimodal interventions. The evidence base for prevention is strongest in terms of multifaceted interventions, while once delirium has set in, early recognition and identification of the cause are key. Integration of effective strategies is often suboptimal, and may be supported by approaches such as interactive teaching methodologies, routine feedback, and clear protocol dissemination. Partnering with patients and carers will support person centered care, improve patient experiences, and may improve outcomes. Ongoing work needs to focus on implementing recognized best practice, in order to minimize the health, social and economic costs of delirium.https://www.frontiersin.org/articles/10.3389/fmed.2022.1080253/fulldeliriumpost-operativehip fracturepreventionmultidisciplinaryacute confusional state |
| spellingShingle | Danielle Ní Chróinín Danielle Ní Chróinín Alwin Chuan Alwin Chuan Alwin Chuan Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge Frontiers in Medicine delirium post-operative hip fracture prevention multidisciplinary acute confusional state |
| title | Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge |
| title_full | Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge |
| title_fullStr | Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge |
| title_full_unstemmed | Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge |
| title_short | Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge |
| title_sort | post operative delirium in the patient with hip fracture the journey from hospital arrival to discharge |
| topic | delirium post-operative hip fracture prevention multidisciplinary acute confusional state |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.1080253/full |
| work_keys_str_mv | AT daniellenichroinin postoperativedeliriuminthepatientwithhipfracturethejourneyfromhospitalarrivaltodischarge AT daniellenichroinin postoperativedeliriuminthepatientwithhipfracturethejourneyfromhospitalarrivaltodischarge AT alwinchuan postoperativedeliriuminthepatientwithhipfracturethejourneyfromhospitalarrivaltodischarge AT alwinchuan postoperativedeliriuminthepatientwithhipfracturethejourneyfromhospitalarrivaltodischarge AT alwinchuan postoperativedeliriuminthepatientwithhipfracturethejourneyfromhospitalarrivaltodischarge |